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Canadian Journal of Anesthesia, Vol 43, 299-302, Copyright © 1996 by Canadian Anesthesiologists' Society

ARTICLES

Use of LMA for awake intubation for caesarean section

M Godley and AR Reddy
Department of Anaesthesia, University of British Columbia, B.C. Women's Hospital and Health Centre Society, Vancouver.

PURPOSE: This case report describes the use of a Laryngeal Mask Airway in a morbidly obese parturient with the H.E.L.L.P. syndrome. An urgent Caesarean section was required because of vaginal bleeding and fetal distress. CLINICAL FEATURES: The patient was a 32 year old G3, T1, P1, L1 who presented with epigastric pain, headache, vomiting, and diarrhoea. She was hypertensive (180/110 mmHg) and thrombocytopaenic (18 x 10(-9). L-1). Examination of the airway revealed a short neck, receded jaw, full dentition, large breasts and she was considered to be a potential intubation problem. The patient required an awake intubation using a technique that minimized hypertension, aspiration risk, airway trauma, and hypoxia. A laryngeal mask was used to facilitate tracheal intubation, and the patient tolerated the procedure with no adverse outcome. CONCLUSION: The LMA has a place to facilitate potentially difficult awake tracheal intubation with the pregnant patient.


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The laryngeal mask airway is effective (and probably safe) in selected healthy parturients for elective Cesarean section: a prospective study of 1067 cases : [Le masque larynge est efficace et, probablement, sans risque pour une cesarienne non urgente chez des parturientes en bonne sante : une etude prospective de 1 067 cas]
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Copyright © 1996 by the Canadian Anesthesiologists' Society.